Director of Case Management - Henry Ford Hospital
GENERAL SUMMARY:
Reporting to the Vice President of Acute Case Management, the Director of Case Management is responsible for the development, implementation, and/or monitoring of the case management department for Henry Ford Hospital. Serves as a primary source to coordinate and communicate with administration and the treatment team the financial management, interdisciplinary patient care service delivery and discharge planning processes. Works closely with senior physician and operational leadership to assure that the case management program complies with standard treatment protocols and lengths of stay.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
- Leads site strategic/action planning, ensuring alignment of all Case management strategic initiatives to system/hospital goals and objectives.
- Leads initiatives, meetings, communication among the Site Case Managers and presents at leadership forums as needed.
- Designs and implements systematic, standardized processes spanning region that enhance operational effectiveness and the patient experience in the hospital setting in alignment with broader system strategy and goals.
- Develops a process and leads a team that integrates information related to performance improvement priorities, measures region performance and advises leadership of opportunities. Identifies targeted opportunities for improvement then develops and implements action plans.
- Performance coaching and counseling to assigned team members, interviews job applicants for departmental vacancies, conducts performance reviews, recommends pay increases, and recommends discipline and termination of assigned personnel as warranted.
- Analyze physician utilization patterns, comparing to national and individual hospital standards.
- Maintain a working relationship with local, state, and federal agencies, recognizing the hospital’s position in the community and its need for cooperation and assistance from such services.
- Responsible for the ongoing development, formalization, and administration of the inpatient case management program.
- Collaborates with senior leadership regarding patient flow, census management, patient care outcomes, and financial performance indicators.
- This position is also responsible for relationship building, as defined through targeted goals of the business plan, with insurance companies, self-insured employers, case management firms, and/or other health care networks.
EDUCATION/EXPERIENCE REQUIRED:
- Master’s degree in nursing or a Master’s degree of Social Work, required.
- Minimum three (3) years of clinical experience, required.
- Minimum three (3) years leading teams, required.
- Excellent verbal communication and written documentation skills
- Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
- Strong problem-solving, analytical and decision-making skills.
- Strong computer skills
- Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
- Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
- Knowledge of medical ethics and legal implications related to case management.
- Understanding of social determinants of health and their impact on a patient’s wellbeing.
- Well versed in facilitating community resources to meet the needs of diverse populations.
- Strong organizational, planning and implementation skills with the ability to handle multiple complex patient needs simultaneously.
- Strong sense of compassion with the ability to successfully advocate for patients and their families.
CERTIFICATIONS/LICENSURES REQUIRED:
- Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
- Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.